Clinical Application of CCOM — Report of Post Op. Bleeding Case
Recently the thermodilution (TD) cardiac output (CO) measurements are widely used in many clinical cases. However, it is impossible to get CO values continuously in such a conventional TD method requiring the frequent intermittent cold water injections. In this system, modified TD catheter (CCOM catheter) is used (Fig 1.). This catheter has two thermistors, one is for the conventional TD method and the other is for detecting heat loss dependent upon blood flow velocity (BFV). The values from CCOM catheter showed an excellent correlation with the electromagnetic flow meter values. The comparison with the intermittent thermodilution technique also showed a high correlation (Fig. 2). The values showed higher correlation at lower cardiac output values, indicating that this continuous method is even more useful in management of critically ill patients. We want discuss about the usefulness of this system and report one case who had a postoperative bleeding.